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Part 3: Surplus Lines Insurance

When Regular Insurance Companies Say "No" - The Backup Plan

Start Here: 5 Things You MUST Know About Surplus Lines

1

Surplus lines = insurance from companies NOT licensed in your state

2

Must be rejected by 3 regular insurers first (Diligent Effort)

3

Only a licensed Surplus Lines Broker can place this coverage

4

The Exportable List skips the 3-rejection requirement

5

NOT protected by state guaranty fund - if the insurer goes bankrupt, you may lose coverage!

What is Surplus Lines Insurance?

First, Let's Understand the Problem

Sometimes, no regular insurance company in your state wants to cover a particular risk. Maybe it's:

  • - Too unusual (you want to insure a hot air balloon business)
  • - Too risky (your building is next to an active volcano... okay, not in NJ, but you get the idea)
  • - Too specialized (professional liability for lion tamers)
  • - Requires more coverage than regular insurers offer

The Solution: Surplus Lines Insurance

Surplus Lines insurance comes from insurers that are NOT licensed (authorized) in your state. They operate outside the regular insurance market.

Think of it like this:

Regular insurance is like shopping at Walmart - they have most common items. But if you need something super specialized (like a custom-made wedding dress), you have to go to a specialty boutique. Surplus Lines insurers are those specialty boutiques - they handle the unusual stuff regular stores don't carry.

Wait - If It's Riskier, Why Would Anyone Use Surplus Lines?

Good question! Sometimes surplus lines is your ONLY option. But there can also be benefits:

More Flexibility

Surplus lines insurers can customize policies more than regular insurers who follow standard forms

Higher Limits Available

May offer coverage amounts that regular insurers won't

Unique Risks Covered

They specialize in unusual situations regular insurers don't understand

Sometimes Competitive Pricing

For certain specialty risks, may actually be cheaper than admitted market

Admitted (Authorized) Insurer

An insurance company that IS licensed in your state. They have a Certificate of Authority from NJ.

Examples: State Farm, Allstate, GEICO - all licensed to sell in NJ

Nonadmitted (Surplus Lines) Insurer

An insurance company that is NOT licensed in your state. They handle the unusual risks.

Examples: Lloyd's of London, specialty carriers that focus on unique risks

The "Diligent Effort" Requirement

3

Rejections Required!

This is a KEY exam number!

Before a surplus lines broker can place coverage with a nonadmitted insurer, they must prove they tried the regular market first. This is called a "Certificate of Diligent Effort" or just "Diligent Effort."

What Exactly is "Diligent Effort"?

Diligent effort means the broker must show that the risk has been declined by at least 3 authorized insurers, where:

1

Each insurer must be authorized to write that type of insurance

You can't ask an auto insurer to decline your commercial property risk - they don't write that type anyway!

2

The broker must have good faith reason to believe each might consider the risk

You can't just ask 3 random companies you know will say no. They must be companies that reasonably might write this type of coverage.

Real-World Scenario: The Haunted House Attraction

The Setup: Tom runs a professional haunted house attraction during Halloween. He needs liability insurance because people could get scared and trip, or actors could accidentally injure someone.

What Happens: Tom's insurance broker calls State Farm - "Sorry, we don't insure haunted attractions." Then Allstate - "Nope, too risky for us." Then Liberty Mutual - "We'll pass." That's 3 rejections from authorized insurers.

The Solution: Now the broker can document this "diligent effort" and place coverage with a surplus lines insurer like Lloyd's of London, which specializes in unusual risks.

The Result: Tom gets his coverage, but he pays more and has less protection if the surplus lines insurer fails.

The Exportable List - A Shortcut!

What is the Exportable List?

Sometimes the Commissioner already KNOWS that certain types of insurance can't be found in the regular market. So they create a list of these types of coverage.

If your coverage is on the Exportable List:

You DON'T need to get 3 rejections! The Commissioner has already determined there's no reasonable market in the state, so you can go straight to a surplus lines insurer.

NOT on Exportable List

1. Try to place with authorized insurer #1

2. Try to place with authorized insurer #2

3. Try to place with authorized insurer #3

4. All 3 decline? Document it.

5. NOW you can use surplus lines

Takes more time!

ON the Exportable List

1. Check - is this type on the list?

2. YES! Go directly to surplus lines

3. Skip the 3 rejections

4. Place coverage immediately

 

Much faster!

How Does Something Get on the Exportable List?

Step 1: The Commissioner holds a hearing
Step 2: Determines there's no reasonable or adequate market among authorized insurers
Step 3: Adds that line or class of insurance to the list
Step 4: List is compiled annually (updated every year)

Surplus Lines Brokers - The Specialists

Who Can Place Surplus Lines Coverage?

Only a specially licensed Surplus Lines Broker can place coverage with nonadmitted insurers. Regular agents and brokers CANNOT do this without the special license.

Why the special license?

Because surplus lines insurance is riskier for consumers (no state guaranty fund protection), the state wants to make sure only qualified professionals handle these placements. The broker must understand the risks and properly explain them to customers.

What Must the Surplus Lines Broker Do?

Before Placing Coverage:

  • 1. Document the diligent effort (3 rejections) OR verify the risk is on the Exportable List
  • 2. Verify the surplus lines insurer is financially sound
  • 3. Explain to the customer that this is a nonadmitted insurer

After Placing Coverage:

  • 1. File required reports with the state
  • 2. Collect and remit applicable surplus lines taxes
  • 3. Keep proper records of the transaction

IMPORTANT: No Guaranty Fund Protection!

When you buy insurance from an admitted (authorized) insurer, you're protected by the state guaranty fund. If the company goes bankrupt, the fund helps pay claims.

But with surplus lines:

There is NO guaranty fund protection. If your surplus lines insurer goes bankrupt, you may lose your coverage AND any pending claims may not be paid. This is why surplus lines should only be used when absolutely necessary!

Surplus Lines Cheat Sheet

Print for quick reference

3

Rejections required (Diligent Effort)

Exportable List

Skips the 3-rejection requirement

Annual

Exportable List compiled yearly

Surplus Lines Broker

Only they can place this coverage

Nonadmitted

Insurer NOT licensed in state

NO Guaranty Fund

No protection if insurer fails

Exam Trap Alerts

!

It's 3 Rejections, Not 2 or 5

The diligent effort requires exactly 3 authorized insurers to decline. Don't be tricked by other numbers!

!

Exportable List = NO Rejections Needed

If the coverage type is on the Exportable List, you can skip the diligent effort requirement entirely. The exam loves to test this exception!

!

Only Surplus Lines Brokers Can Place This Coverage

Regular agents and brokers cannot place coverage with nonadmitted insurers. They need a special surplus lines license.

!

No Guaranty Fund = More Risk for Consumer

This is why surplus lines should only be used as a last resort. The customer has no state protection if the insurer fails.

!

The 3 Insurers Must Be Appropriate

Each of the 3 insurers must be authorized to write that specific type of insurance AND the broker must have good faith reason to believe they might consider it.

Quick Reference Summary

Surplus Lines Purpose

Coverage for risks regular insurers won't touch

Diligent Effort

3 rejections from authorized insurers

Exportable List

Commissioner's list that skips rejections

Who Places It

Licensed Surplus Lines Broker only

Consumer Risk

No state guaranty fund protection

When to Use

Only when admitted market unavailable